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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. The release of FHIR in the mid-2010 decade changed everything. The workflow is illustrated in a diagram in an article on the FHIR web site. These factors are incentives for adoption.

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Toward a Wider Adoption of Digital Insurance Cards

Healthcare IT Today

HL7 , which has been setting standards for health care since 1987, leapt into the modern age of computer standards by adopting the FHIR standard. One of the FHIR standards, conveniently enough, is a digital insurance card. A payer such as Medicare could just put a card on its web site for each patient to download. Version 2.0

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2018 Medicare Fee-For-Service improper payment rate is lowest since 2010

CMS.gov

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

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2019: Healthcare IT gains new ground

Healthcare IT News - Telehealth

But at the tail end of the 'teens, we see a flowering of innovation that could only have been dreamed of in 2010. The National Coordinator talks 21st Century Cures, information blocking, Apple, consumerism, FHIR, open APIs and new business models he sees emerging amid the "overarching theme of human choice and freedom and dignity."